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Thus, vendors targeting foreign-language speakers in the United States would have been missed. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. This practice also occurs in the United States even though the United States regulates the acquisition of antibiotics, which will be limited by prescription only. Patients are increasingly using the Internet not only to access health information but also to obtain medication. Other providers are trying to upset this law by providing online diagnoses and prescriptions based on medical records without a physical examination and without a long relationship between the patient and the doctor, a practice that is not considered an adequate standard of care. The links to these advertised sites were also investigated. That these companies can be located in countries outside US jurisdictions complicates enforcement of US laws. Fourth, we categorized whether a person could buy antibiotics, especially broad-spectrum antibiotics, in quantities greater than what would be considered adequate 1 course of treatment for acute respiratory tract infection. First, although all of the included providers would sell antibiotics without a prescription, we assessed whether the supplier would sell antibiotics without any form of prescription or whether a prescription created for the purchase based on the completion of an online medical history was required. The medical community and the public health and regulating agencies, as well as pharmaceutical companies, need to expand efforts to control antibiotic resistance beyond initiatives centered on prescribing behavior to include self-medication and sources of antibiotics obtained without prescription. This activity suggests that some vendors are aware of the questionable legitimacy of their business. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. In the case of online histories to justify a prescription, we assumed that individuals are primarily purchasing antibiotics for an acute problem. Even with these strategies, however, it was difficult to know whether one corporation still owns and manages several locations. European countries struggled with the problem of self-medication with antibiotics and found that the belief in the appropriateness of self-medication with antibiotics for bronchitis and the perceived availability of antibiotics without a prescription was associated with an increased likelihood of self-medication. After completing the online medical history, the customer would be given a prescription that would allow the purchase to be completed.